PRASHANTH A MALLY

FAIRFAX, VA
NPI1669649729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology Pain Medicine
(Licence: VA  101244719)
Enumeration Date2008-05-08
Last Update Date2021-11-23
Business Address
PRASHANTH A MALLY MD
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033-3952
Phone number: 703-934-5700
Mailing Address
PRASHANTH A MALLY MD
2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852-4908
Phone number: 301-816-2424
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